Oregon Administrative Rules
Chapter 414 - DEPARTMENT OF EARLY LEARNING AND CARE
Division 305 - CERTIFIED CHILD CARE CENTERS
Section 414-305-0610 - Feeding Infants and Toddlers
Universal Citation: OR Admin Rules 414-305-0610
Current through Register Vol. 63, No. 9, September 1, 2024
(1) If serving children under 12 months of age, a certified child care center must comply with the following requirements for each child under 12 months of age:
(a) The center must have and follow a written
feeding plan and schedule that includes the types and amounts of formula, human
milk, and food that is obtained from the child's parent(s) and updated
regularly.
(b) The center must feed
the child on their own feeding schedule and fed when hungry.
(c) The center must clearly mark formula,
human milk, bottles, and food provided by the parent(s) with the child's full
name and date and refrigerated if required.
(d) The center may not give infant formula to
an infant who consumes human milk, without parental consent.
(e) The center must give human milk only to
the child specified to receive it by the parent(s).
(f) Human milk must:
(A) Be labeled with the child's full name and
the date expressed;
(B) Be stored
for no more than:
(i) 24 hours in the
refrigerator when thawed or defrosting; or
(ii) Six months from the expression date in
the freezer.
(C) Be
refrigerated or frozen until immediately before warming;
(D) Not be warmed in a microwave;
(E) Not reused after 2 hours from
serving;
(F) Not be returned to the
refrigerator, freezer, or re-warmed once warmed.
(g) If human milk or formula is given to the
wrong child, parents of both children must be immediately notified and the
incident documented as an accident/incident.
(h) Human milk that has not been served, must
be returned to the parent in the bottle or container that it was provided
in.
(i) Prepared formula not used
may be returned to the parent or discarded daily, based on the preference of
the parent.
(j) When formula is
provided by the center, it must be either:
(A)
Commercially prepared, iron-enriched, ready-to-feed type; or
(B) Prepared from powder or concentrate and
diluted according to manufacturers' instructions.
(k) When formula is prepared on site, it must
be mixed in a kitchen or classroom food preparation area approved by the
environmental health specialist.
(l) When formula is provided by parents:
(A) It must come in sealed containers;
and
(B) The caregiver must follow
the manufacturer's instructions for mixing and storing of any formula
preparation, unless requested by the child's parent(s) and with a medical
practitioner's written permission.
(m) Whole milk, skim milk, 1 percent milk,
and 2 percent milk must not be served unless requested by the child's parent(s)
and with a medical practitioner's written permission.
(n) The center must not serve juice, of any
kind, to infants.
(o) Infant
formula cannot be mixed with cereal, fruit juice, or other foods without a
medical practitioner's written permission.
(p) The center must not give infants, under
six months of age, water to drink, without written approval by a medical
professional.
(q) The center must
warm bottles only in one of the following ways: under running, warm tap water;
using a commercial bottle warmer; stove top warming methods, or slow-cooking
device; or by placing them in a container of warm water.
(A) Bottles must not be warmed in microwave
ovens.
(B) Once warmed, a bottle
must not be returned to the refrigerator or re-warmed.
(C) Warming devices must remain inaccessible
to children.
(r)
Bottles, bottle caps, nipples and other equipment used for bottle feeding that
a certified child care center provides must be cleaned and sanitized by washing
in a dishwasher or by washing, rinsing and boiling for 1 minute. Nipples must
be stored in a closed container after sanitizing.
(s) Solid foods fed to infants must be
selected from the Child and Adult Care Food Program Meal Pattern (CACFP):
(A) Solid foods must not be fed to infants
less than four months of age;
(B)
Commercially packaged baby food must be served from a dish and not directly
from the factory-sealed container;
(C) Leftovers in the serving container must
be discarded;
(D) Solid foods, with
the exception of finger foods, must be fed with a spoon; and
(E) Food must be cut into small pieces no
larger than 1/4 inch cubes for infants and 1/2 inch cubes for
1-year-olds.
(t)
Partially served containers of baby food must be either sent home with parents
or the contents discarded daily.
(2) When bottle feeding, a certified child care center must:
(a) Hold infants up to 6
months of age and older children who cannot hold their own bottles or sit
alone;
(b) Ensure the infant's head
is elevated while being fed; and
(c) Not allow infants to walk around with or
sleep with a bottle or training cup.
(3) A certified child care center must not lay a child of any age down with a bottle or training cup.
(4) A certified child care center must not prop a bottle by any means at any time.
(5) When feeding solid foods, a certified child care center must ensure that infants are fed in an upright position.
(6) As soon as the child exhibits a desire to feed their self, the child must be assisted and encouraged to use their fingers for self-feeding, eat with a spoon, and to drink from individual cups.
Statutory/Other Authority: ORS 329A.260
Statutes/Other Implemented: ORS 329A.260
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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